Provider Demographics
NPI:1902538499
Name:STEVEN JOHNSON MD PLLC
Entity Type:Organization
Organization Name:STEVEN JOHNSON MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-237-7469
Mailing Address - Street 1:9002 GASSERWAY CIR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8511
Mailing Address - Country:US
Mailing Address - Phone:615-790-7992
Mailing Address - Fax:615-790-8688
Practice Address - Street 1:5109 PETER TAYLOR PARK DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7671
Practice Address - Country:US
Practice Address - Phone:615-237-7469
Practice Address - Fax:615-857-6344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty